急性低氧大鼠肺动脉平滑肌内质网钙信号的变化及意义

目的：观察急性低氧大鼠肺动脉平滑肌内质网钙信号的变化及意义。方法:细胞水平：钙荧光探针(Fura-2/AM)负载大鼠肺动脉平滑肌细胞（PASMCs），荧光分光光度法，细胞外液无Ca2+及含Ca2+，在常氧（37 ℃、5% CO2、21 %O2、74 %N2 ）和急性低氧(37 ℃、5% CO2、2% O2、93 %N2)时，检测理阿诺碱（RD）和环匹阿尼酸（CPA）等对细胞浆内游离钙离子浓度（［Ca2+］i）的影响；离体血管环水平：相同条件，离体血管灌流方法检测肺动脉环张力变化。结果:(1)急性低氧时［Ca2+］i升高：常氧组［Ca2+］i为（96.99±7.16） nmol/L，低氧组为(257.06±32.48) nmol/L (P<0.01)。(2)与低氧组比较，预先用RD或普鲁卡因(procain)抑制内质网理阿诺碱受体敏感钙库，随后再给予低氧刺激时［Ca2+］i不升高，为（100.91±11.21） nmol/L (P<0.01)；而用CPA或thapsigargin（TG）抑制内质网摄取Ca2+，再给低氧刺激时［Ca2+］i呈升高状态(P>0.05)，而在细胞外液含钙及低氧下CPA及TG引起［Ca2+］i进一步升高(P<0.05)。(3)低氧引起肺动脉环收缩：常氧对基础张力无影响，低氧引起肺动脉环收缩，最大收缩张力达（49.28±8.64） g/g,P<0.01。(4)与低氧组比较，预先用RD或procain抑制内质网理阿诺碱受体敏感钙库，再给予低氧刺激，肺动脉环不收缩，最大收缩张力（3.75±1.14） g/g, P<0.01；而用CPA或TG后，再给予低氧刺激，肺动脉环呈收缩状态(P>0.05)，而在细胞外液含钙及低氧下CPA及TG引起肺动脉环进一步收缩(P<0.05)。结论:急性低氧可以引起内质网释放Ca2+，至少来自理阿诺碱受体敏感钙库的Ca2+释放参与了低氧肺血管收缩的发病机制；这可能是PASMCs自身具有的，既不依赖细胞外Ca2+内流，也不依赖血管内皮。

Effects of acute hypoxia on calcium signal of sarcoplasmic reticulum in pulmonary artery smooth muscle in rats

AIM: To investigate the effects of acute hypoxia on calcium of sarcoplasmic reticulum in pulmonary artery smooth muscle in rats. METHODS: The fluorescence Ca2+ indicator Fura-2/AM was used to observe intracellular free Ca2+ concentration (［Ca2+］i) in rat pulmonary artery smooth muscle cells (PASMCs) in the presence of ryanodine (RD) and cyclopiazonic acid (CPA) in normal (37 ℃, 5%CO2, 21%O2, 74%N2), acute hypoxic (37 ℃, 5%CO2, 2%O2, 93%N2) under Ca2+ and Ca2+ free conditions. Pulmonary artery ring was used to determine the pulmonary artery tension by using routine blood vascular perfusion in vitro under the same conditions. RESULTS: (1) Under acute hypoxic conditions, ［Ca2+］i was increased ［(96.99±7.16) nmol/L in normoxic condition and (257.06±32.48) nmol/L in hypoxic condition, P<0.01］. (2) Ryanodine or procain, an agent that blocks ryanodine receptor-seneitive (RyR) Ca2+ stores, inhibited hypoxia-induced increases in ［Ca2+］i { ［Ca2+］i decreased to (100.91±11.21) nmol/L, P<0.01}. CPA or thapsigargin (TG), the agent that inhibits sarcoplasmic reticulum (SR) Ca2+ -ATPase and inhibits SR uptake Ca2+, increased ［Ca2+］i. Under acute hypoxic and Ca2+ conditions, CPA or thapsigargin (TG) increased ［Ca2+］i more than that in Ca2+ free conditions. (3) Acute hypoxia evoked pulmonary artery contractions. Pulmonary artery tension had no effects under normoxic and increased under acute hypoxia condition. (4) Ryanodine or procain inhibited hypoxia-evoked contractions in the pulmonary artery. CPA or TG increased artery tension. Under acute hypoxic and Ca2+ conditions, CPA or TG increased tension more than that in Ca2+ free condition. CONCLUSION: The results indicate that release of Ca2+ from the SR, at least, RyR Ca2+ store, contributes to the mechanism of hypoxic pulmonary vasoconstriction in rat. This is a mechanism intrinsic to pulmonary artery without the need for Ca2+ influx across the plasmalemma or an endothelial factor.